Provider Demographics
NPI:1407030588
Name:CIRLIN, NORMA (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:NORMA
Middle Name:
Last Name:CIRLIN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 BADGER ST
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-1823
Mailing Address - Country:US
Mailing Address - Phone:845-634-1681
Mailing Address - Fax:
Practice Address - Street 1:10 BADGER ST
Practice Address - Street 2:
Practice Address - City:NEW CITY
Practice Address - State:NY
Practice Address - Zip Code:10956-1823
Practice Address - Country:US
Practice Address - Phone:845-634-1681
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-25
Last Update Date:2007-12-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR014024-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical